Individual
MARK E GUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 450, EVERETT, WA 98201-1684
(425) 258-6801
Mailing address
1330 ROCKEFELLER AVE, SUITE 450, EVERETT, WA 98201-1684
(425) 258-6801
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00043252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184015
LABOR AND INDUSTRY
WA
05
—
8385270
—
WA
01
—
MD00043252
STATE LICENSE NUMBER
WA
01
—
P00165588
RAILROAD MEDICARE
WA
Enumeration date
05/28/2006
Last updated
02/06/2014
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